Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.87 / $69.20 / $121.26	Professional		$48.87	$69.20	$121.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.61 / $94.61 / $147.04	Professional		$94.61	$94.61	$147.04
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $10.71 / $80.30 / $107.08	Facility		$10.71	$80.30	$107.08
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $10.71 / $80.30 / $107.08	Professional		$10.71	$80.30	$107.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.94 / $78.94 / $78.94	Facility		$78.94	$78.94	$78.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.09 / $78.94 / $148.88	Professional		$67.09	$78.94	$148.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $332.00 / $332.00	Facility		$319.00	$332.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $66.37 / $82.36 / $126.71	Professional		$66.37	$82.36	$126.71
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.31 / $78.95 / $97.44	Professional		$74.31	$78.95	$97.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $78.94 / $78.94 / $78.94	Facility		$78.94	$78.94	$78.94
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $67.09 / $71.63 / $148.88	Professional		$67.09	$71.63	$148.88
United Facility/Professional Professional Modifier Low / Median / High Price $41.66 / $67.70 / $104.15	Professional		$41.66	$67.70	$104.15
Univera Facility/Professional Facility Modifier Low / Median / High Price $74.31 / $74.31 / $74.31	Facility		$74.31	$74.31	$74.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $74.31 / $74.31 / $97.44	Professional		$74.31	$74.31	$97.44